Active NPI
Robert a Hoffman
- Optometrist
- Folsom, CA
National Provider Identifier
1104121961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9263T
- Legal business name
- ROBERT A HOFFMAN
- Practice address
- 705 E Bidwell St
Suite 10
Folsom, CA 95630-3315 - Phone
- (916) 983-6211
- Fax
- (916) 983-6608
- NPI assigned
- Jan 25, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert A Hoffman, OD
- Title
- Owner
- Phone
- (916) 983-6211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9263T | CA | Primary |
Addresses
Primary practice location
705 E Bidwell St
Suite 10
Folsom, CA 95630-3315
Mailing address
705 E Bidwell St
Suite 10
Folsom, CA 95630-3315
Phone (916) 983-6211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SDOO92630 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
705 E Bidwell St
Ste 10
Folsom, CA 95630
Phone (916) 983-6211
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Cameron Park, CA
- NPI 1235239385
-
- Optometrist
- Folsom, CA
- NPI 1841407764
-
- Optometrist
- Folsom, CA
- NPI 1851541494
-
- Optometrist
- Folsom, CA
- NPI 1699036764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1295913600000",
"number": "1104121961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 E BIDWELL ST",
"address_2": "SUITE 10",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303315",
"telephone_number": "916-983-6211",
"fax_number": "916-983-6608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 E BIDWELL ST",
"address_2": "SUITE 10",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303315",
"telephone_number": "916-983-6211",
"fax_number": "916-983-6608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT A HOFFMAN",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-25",
"last_updated": "2011-01-25",
"status": "A",
"authorized_official_last_name": "HOFFMAN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "916-983-6211",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "9263T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SDOO92630",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.